WEST LIBERTY UNIVERSITY

MASTERS OF ARTS IN EDUCATION MAY 2013 GRADUATION APPLICATION: This form must be submitted to the Office of the Registrar by March 8, 2013. Applications received after December 14, 2012 will result in a $110 late fee. GRADUATION FEE ($150) IS NOT DUE AT TIME OF APPLICATION. STUDENTS WILL BE INVOICED.

* Required

Date Submitted
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Student ID # or Social Security Number
*

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Name EXACTLY as you wish it to appear on your Diploma
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Telephone Number
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Email Address
*

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AREA OF EMPHASIS (Please check one)
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Advance Teaching Program

Multi-Categorical Special Education Program

Technology Integration Program

Leadership Emphasis

This is a required question

INFORMATION REGARDING THE DECEMBER CEREMONY WILL BE MAILED TO THE STUDENT'S HOME ADDRESS. If you have any questions or concerns please contact Amy Balog,Certification Analyst at 304-336-8127 or email at: balogamy@westliberty.edu. Thank you!